| NPI | 1447502737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3513) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: CA PSY31796) | |
| 103T00000X Psychologist (Licence: WA PY61197410) | |
| 103T00000X Psychologist (Licence: OH P07891) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2022-07-27 |